(http://myweb.lsbu.ac.uk/dirt/museum/margaret/138-23-1081351.jpg) | 35 year old woman from Africa presented with projectile vomiting preceded with headache. Nothing important in past medical history apart from chronic cough. Investigation: look at the attached Image Questions 1- What is your diagnosis? 2- What other important clinical presentation? 3- How to treat this patient? |
(http://myweb.lsbu.ac.uk/dirt/museum/margaret/138-23-1081351.jpg) There are multiple lesions of similar size scattered in both cerebral hemispheres, but more on the right side. There is marked oedema of the deep white matter associated with each focus, but without significant mass-effect. The lesions enhance after intravenous contrast. | (http://myweb.lsbu.ac.uk/dirt/museum/margaret/138-3826-1081231.jpg) The CT scan shows mass lesions in both cerebral hemispheres with a brightly enhancing rim. There is one in each frontal and parietal lobe. The right frontal lesion is parasaggital. A ring of density in the body of the right caudate nucleus may represent another lesion. There is an underlying pattern of large cerebral sulci and lateral ventricles. |